Common use of SPECIAL DELIVERY INSTRUCTIONS Clause in Contracts

SPECIAL DELIVERY INSTRUCTIONS. (See Instructions 1, 4 and 5) To be completed ONLY if the shares for surrendered Certificates is to be sent to someone other than the undersigned or to the undersigned at an address other than that shown above. Deliver check to: Name: ___________________________________________ (Please Print) Address: _________________________________________ _________________________________________________ (Include Zip Code) IMPORTANT — STOCKHOLDERS SIGN HERE (U.S. Holders Also Please Complete Substitute Form W-9 Below) (Non-U.S. Holders Please Obtain and Complete Form W-8BEN or Other Form W-8) (Must be signed by former registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) as evidenced by certificates and documents transmitted herewith. If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see Instruction 4.) Name(s): X _____________________________________________________________________________________________________________ Area Code and Telephone Number: ___________________________________________________________________________________________ Dated: _____________________, 2020 GUARANTEE OF SIGNATURE(S) (See Instructions 1 and 4) Complete ONLY if required by Instruction 1. FOR USE BY FINANCIAL INSTITUTION ONLY. PLACE MEDALLION GUARANTEE IN SPACE BELOW. Firm: _______________________________________________________________ By: _______________________________________________________________ Title: _______________________________________________________________ Address: _______________________________________________________________ TO BE COMPLETED BY ALL SURRENDERING U.S. HOLDERS (See Instruction 6) PAYER: CONTINENTAL STOCK TRANSFER & TRUST COMPANY SUBSTITUTE Form W-9 Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number (TIN) And Certification Name: Address: Check appropriate box: Individual/Sole Proprietor ☐ Corporation ☐ Partnership ☐ Other (specify) ☐ Exempt from Backup Withholding ☐

Appears in 1 contract

Samples: Subscription Agreement (ARYA Sciences Acquisition Corp II)

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SPECIAL DELIVERY INSTRUCTIONS. (See Instructions 1, 4 5 and 56) -------------------------------------------------------------------------------- To be completed ONLY if (a) the Certificate of Interests includes Partnership Interests not tendered and/or (b) shares of Common Stock for surrendered Certificates is the purchase price of Partnership Interests purchased are to be sent (i) to someone other than the undersigned or (ii) to the undersigned at an address other than that shown above. Deliver check toMail [ ] Certificate(s) for shares of Common Stock [ ] Certificate of Interests for Partnership Interests not tendered To: Name: Name _________________________________________________________ (Please Printplease print) Address: Address ______________________________________________________ ______________________________________________________________ (Include include Zip Code) IMPORTANT — STOCKHOLDERS SIGN HERE (U.S. Holders Also Please Complete Substitute Form W-9 Below) (Non-U.S. Holders Please Obtain and Complete Form W-8BEN or Other Form W-8) (Must be signed by former registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) as evidenced by certificates and documents transmitted herewith. If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see Instruction 4.) Name(s): X ______________________________________________________________ ______________________________________________________________ (Tax Identification or Social Security Number) -------------------------------------------------------------------------------- SIGN HERE Complete Substitute Form W-9 included ________________________________________________________________________________ Area Code and Telephone Number: ___________________________________________________________________________________________ (Signature(s) of holder of Partnership Interests) (Must be signed by registered holder(s) as name(s) appear(s) on Partnership Interest Certificate(s). If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see instruction 5. Dated: _____________________, 2020 GUARANTEE OF SIGNATURE(S______________________________________ Name(s)_________________________________________________________ (please print) Capacity (See Instructions 1 and 4) Complete ONLY if required by Instruction 1. FOR USE BY FINANCIAL INSTITUTION ONLY. PLACE MEDALLION GUARANTEE IN SPACE BELOW. Firm: Full Title)__________________________________________________ Address_________________________________________________________ ________________________________________________________________ By: (include Zip Code) Area Code and Tel. No.__________________________________________ Tax Identification or Social Security No.___________________________________________ (Complete Substitute Form W-9) Guarantee of Signature(s) (See Instruction 1) Authorized Signature____________________________________________ Name of Firm____________________________________________________ Dated_______________________________________________________________ Title: _______________________________________________________________ Address: _______________________________________________________________ TO BE COMPLETED BY ALL SURRENDERING U.S. HOLDERS (See Instruction 6) PAYER: CONTINENTAL STOCK TRANSFER & TRUST COMPANY SUBSTITUTE Form W-9 Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number (TIN) And Certification Name: Address: Check appropriate box: Individual/Sole Proprietor ☐ Corporation ☐ Partnership ☐ Other (specify) ☐ Exempt from Backup Withholding ☐

Appears in 1 contract

Samples: Exchange and Registration Rights Agreement (Trump Donald J)

SPECIAL DELIVERY INSTRUCTIONS. (See Instructions 1, 4 and 5) To be completed ONLY if the shares for surrendered Certificates is to be sent to someone other than the undersigned or to the undersigned at an address other than that shown above. Deliver check to: Name: _____________:______________________________ (Please Print) Address: _________________________________________ _________________________________________________ (Include Zip Code) IMPORTANT — STOCKHOLDERS SIGN HERE (U.S. Holders Also Please Complete Substitute Form W-9 Below) (Non-U.S. Holders Please Obtain and Complete Form W-8BEN or Other Form W-8) (Must be signed by former registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) as evidenced by certificates and documents transmitted herewith. If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see Instruction 4.) Name(s): X __________________________________________________________X___________________________________________________ Area Code and Telephone Number: __________________________________________________________________ Dated: __________________________ Dated: _____________________, 2020 GUARANTEE OF SIGNATURE(S) (See Instructions 1 and 4) Complete ONLY if required by Instruction 1. FOR USE BY FINANCIAL INSTITUTION ONLY. PLACE MEDALLION GUARANTEE IN SPACE BELOW. Firm: _______________________________________________________________ By: _______________________________________________________________ Title: _______________________________________________________________ Address: _______________________________________________________________ TO BE COMPLETED BY ALL SURRENDERING U.S. HOLDERS (See Instruction 6) PAYER: CONTINENTAL STOCK TRANSFER & TRUST COMPANY SUBSTITUTE Form W-9 Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number (TIN) And Certification Name: Address: Check appropriate box: Individual/Sole Proprietor ☐ Corporation ☐ Partnership ☐ Other (specify) ☐ Exempt from Backup Withholding ☐

Appears in 1 contract

Samples: Subscription Agreement (ARYA Sciences Acquisition Corp III)

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SPECIAL DELIVERY INSTRUCTIONS. (See Instructions 1, 4 5 and 56) ================================================================================ To be completed ONLY if (a) the Certificate of Interests includes Partnership Interests not tendered and/or (b) shares of Common Stock for surrendered Certificates is the purchase price of Partnership Interests purchased are to be sent (i) to someone other than the undersigned or (ii) to the undersigned at an address other than that shown above. Deliver check toMail / / Certificate(s) for shares of Common Stock / / Certificate of Interests for Partnership Interests not tendered To: Name: ______________________________________________________________________ (Please Printplease print) Address: ___________________________________________________________________ __________________________________________________________________________ (Include include Zip Code) IMPORTANT — STOCKHOLDERS SIGN HERE (U.S. Holders Also Please Complete Substitute Form W-9 Below) (Non-U.S. Holders Please Obtain and Complete Form W-8BEN or Other Form W-8) (Must be signed by former registered holder(s) exactly as name(s) appear(s) on stock certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) as evidenced by certificates and documents transmitted herewith. If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see Instruction 4.) Name(s): X __________________________________________________________________________ __________________________________________________________________________ (Tax Identification or Social Security Number) ================================================================================ SIGN HERE Complete Substitute Form W-9 included ________________________________________________________________________________ Area Code and Telephone Number: ___________________________________________________________________________________________ (Signature(s) of holder of Partnership Interests) (Must be signed by registered holder(s) as name(s) appear(s) on Partnership Interest Certificate(s). If signature is by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary or representative capacity, please set forth full title and see instruction 5. Dated: _____________________, 2020 GUARANTEE OF SIGNATURE(S) (See Instructions 1 and 4) Complete ONLY if required by Instruction 1. FOR USE BY FINANCIAL INSTITUTION ONLY. PLACE MEDALLION GUARANTEE IN SPACE BELOW. Firm: _______________________________________________________________ By: Name(s)_________________________________________________________________________ (please print) Capacity (Full Title: )____________________________________________________________________ Address: _________________________________________________________________________ TO BE COMPLETED BY ALL SURRENDERING U.S. HOLDERS ________________________________________________________________________________ (include Zip Code) Area Code and Tel. No.__________________________________________________________ Tax Identification or Social Security No._____________________________________________________________ (Complete Substitute Form W-9) Guarantee of Signature(s) (See Instruction 61) PAYER: CONTINENTAL STOCK TRANSFER & TRUST COMPANY SUBSTITUTE Form W-9 Department Authorized Signature_______________________________________________________________________ Name of Firm____________________________________________________________________________ Dated___________________________________________________________________________ Forming Part of the Treasury Internal Revenue Service Request for Taxpayer Identification Number (TIN) And Certification Name: Address: Check appropriate box: Individual/Sole Proprietor ☐ Corporation ☐ Partnership ☐ Other (specify) ☐ Exempt from Backup Withholding ☐Terms and Conditions of the Amended and Restated Exchange and Registration Rights Agreement

Appears in 1 contract

Samples: Exchange and Registration Rights Agreement (Trump Hotels & Casino Resorts Inc)

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